Sleep Health: An Opportunity for Public Health to Address Health Equity

Annual Review of Public Health, Год журнала: 2020, Номер 41(1), С. 81 - 99

Опубликована: Янв. 4, 2020

The concept of sleep health provides a positive holistic framing multiple characteristics, including duration, continuity, timing, alertness, and satisfaction. Sleep promotion is an underrecognized public opportunity with implications for wide range critical outcomes, cardiovascular disease, obesity, mental health, neurodegenerative disease. Using socioecological framework, we describe interacting domains individual, social, contextual influences on health. To the extent that these determinants are modifiable, researchers may benefit from taking multilevel approach addressing disparities in For example, addition to providing individual-level behavioral recommendations, interventions need occur at levels (e.g., family, schools, workplaces, media, policy). Because key indicator overall unevenly distributed across population, consider improving necessary step toward achieving equity.

Язык: Английский

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Sleep Irregularity and Risk of Cardiovascular Events

Journal of the American College of Cardiology, Год журнала: 2020, Номер 75(9), С. 991 - 999

Опубликована: Март 1, 2020

Язык: Английский

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Sleep timing, sleep consistency, and health in adults: a systematic review

Applied Physiology Nutrition and Metabolism, Год журнала: 2020, Номер 45(10 (Suppl. 2)), С. S232 - S247

Опубликована: Окт. 1, 2020

The objective of this systematic review was to examine the associations between sleep timing (e.g., bedtime/wake-up time, midpoint sleep), consistency/regularity intra-individual variability in duration, social jetlag, catch-up and health outcomes adults aged 18 years older. Four electronic databases were searched December 2018 for articles published previous 10 years. Fourteen examined. A total 41 articles, including 92 340 unique participants from 14 countries, met inclusion criteria. Sleep assessed objectively 37% studies subjectively 63% studies. Findings suggest that later greater generally associated with adverse outcomes. However, because most reported linear associations, it not possible identify thresholds “late timing” or “large variability”. In addition, jetlag outcomes, while weekend better quality evidence ranged “very low” “moderate” across study designs using GRADE. conclusion, available supports earlier regularity patterns consistent bedtimes wake-up times are favourably health. (PROSPERO registration no.: CRD42019119534.) Novelty This is first influence consistency on Later both adults. Regularity should be encouraged.

Язык: Английский

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The importance of sleep regularity: a consensus statement of the National Sleep Foundation sleep timing and variability panel

Sleep Health, Год журнала: 2023, Номер 9(6), С. 801 - 820

Опубликована: Сен. 7, 2023

To develop and present consensus findings of the National Sleep Foundation sleep timing variability panel regarding impact on health performance.

Язык: Английский

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Sleep regularity is a stronger predictor of mortality risk than sleep duration: A prospective cohort study

SLEEP, Год журнала: 2023, Номер 47(1)

Опубликована: Сен. 21, 2023

Abstract Abnormally short and long sleep are associated with premature mortality, achieving optimal duration has been the focus of health guidelines. Emerging research demonstrates that regularity, day-to-day consistency sleep–wake timing, can be a stronger predictor for some outcomes than duration. The role regularity in however, not investigated large cohort objective data. We therefore aimed to compare how predicted risk all-cause cause-specific mortality. calculated Sleep Regularity Index (SRI) scores from > 10 million hours accelerometer data 60 977 UK Biobank participants (62.8 ± 7.8 years, 55.0% female, median[IQR] SRI: 81.0[73.8–86.3]). Mortality was reported up years after recording 1859 (4.84 deaths per 1000 person-years, mean (±SD) follow-up 6.30 0.83 years). Higher 20%–48% lower mortality (p < .001 p = 0.004), 16%–39% cancer 0.001 0.017), 22%–57% cardiometabolic 0.048), across top four SRI quintiles compared least regular quintile. Results were adjusted age, sex, ethnicity, sociodemographic, lifestyle, factors. duration, by comparing equivalent models, nested SRI-mortality models without 0.14–0.20). These findings indicate is an important may simple, effective target improving general survival.

Язык: Английский

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Redefining Cardiovascular Health to Include Sleep: Prospective Associations With Cardiovascular Disease in the MESA Sleep Study

Journal of the American Heart Association, Год журнала: 2022, Номер 11(21)

Опубликована: Окт. 19, 2022

Background Although sufficient and healthy sleep is inversely associated with cardiovascular disease (CVD) its risk factors, the American Heart Association's Life's Simple 7 (LS7), as a measure of health (CVH), did not include sleep. We evaluated an expanded CVH that includes eighth metric in relation to CVD risk. Methods Results The analytic sample consisted MESA (Multi-Ethnic Study Atherosclerosis) Sleep participants who had complete data on characteristics from overnight polysomnography, 7-day wrist actigraphy, validated questionnaires, outcome. computed LS7 score 4 iterations new score: 1 included duration, 2 linked literature (sleep insomnia, daytime sleepiness, obstructive apnea), scores 3 (score 3: duration efficiency, apnea; 4: 3+sleep regularity). Multivariable-adjusted logistic Cox proportional hazards models associations prevalence incidence. Among 1920 (mean age: 69±9 years; 54% female), there were 95 prevalent events 93 incident cases follow-up, 4.4 years). Those highest versus lowest tertile up 80% lower odds CVD. was significantly incidence (hazard ratio, 0.62 [95% CI, 0.37-1.04]). 1, which 4, multidimensional health, 43% 47% 0.57 0.33-0.97]; hazard 0.53 0.32-0.89]), respectively. Conclusions predicted older US adults. incorporation metric, akin other behaviors, may enhance primordial primary prevention efforts. Findings warrant confirmation larger cohorts over longer follow-up.

Язык: Английский

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Sleep Irregularity and Subclinical Markers of Cardiovascular Disease: The Multi‐Ethnic Study of Atherosclerosis

Journal of the American Heart Association, Год журнала: 2023, Номер 12(4)

Опубликована: Фев. 21, 2023

Background Sleep irregularity has been linked to incident cardiovascular disease. Less is known about associations of sleep regularity with atherosclerosis. We examined cross‐sectional actigraphy‐assessed duration and timing subclinical atherosclerosis in the community‐based MESA (Multi‐Ethnic Study Atherosclerosis). Methods Results Ancillary participants (N=2032; mean age, 68.6±9.2 years; 37.9% White) completed 7‐day wrist actigraphy. Participants underwent assessments coronary artery calcium, carotid plaque presence, intima‐media thickness, ankle‐brachial index. was quantified by with‐in person SD onset timing. Relative risk regression models were used calculate prevalence ratios 95% CIs. Models are adjusted for demographics, disease factors, other objectively assessed characteristics including obstructive apnea, duration, fragmentation. After adjustment, compared more regular durations (SD ≤60 minutes), greater >120 minutes) likely have high calcium burden (>300; ratio, 1.33 [95% CI, 1.03–1.71]) abnormal index (<0.9; 1.75 1.03–2.95]). Compared ≤30 irregular >90 (prevalence 1.39 1.07–1.82]). Associations persisted after adjustment factors average Conclusions irregularity, particularly associated several measures may be a modifiable target reducing risk. Future investigation into reduction interventions targeting warranted.

Язык: Английский

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Wearables in Chronomedicine and Interpretation of Circadian Health

Diagnostics, Год журнала: 2025, Номер 15(3), С. 327 - 327

Опубликована: Янв. 30, 2025

Wearable devices have gained increasing attention for use in multifunctional applications related to health monitoring, particularly research of the circadian rhythms cognitive functions and metabolic processes. In this comprehensive review, we encompass how wearables can be used study disease. We highlight importance these as markers well-being potential predictors outcomes. focus on wearable technologies sleep research, medicine, chronomedicine beyond domain emphasize actigraphy a validated tool monitoring sleep, activity, light exposure. discuss various mathematical methods currently analyze actigraphic data, such parametric non-parametric approaches, linear, non-linear, neural network-based applied quantify non-circadian variability. also introduce novel actigraphy-derived markers, which personalized proxies status, assisting discriminating between disease, offering insights into neurobehavioral status. lifestyle factors physical activity exposure modulate brain health. establishing reference standards measures further refine data interpretation improve clinical The review calls existing tools methods, deepen our understanding health, develop healthcare strategies.

Язык: Английский

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COVID-19-related mobility reduction: heterogenous effects on sleep and physical activity rhythms

SLEEP, Год журнала: 2020, Номер 44(2)

Опубликована: Сен. 11, 2020

Mobility restrictions imposed to suppress transmission of COVID-19 can alter physical activity (PA) and sleep patterns that are important for health well-being. Characterization response heterogeneity their underlying associations may assist in stratifying the impact pandemic.We obtained wearable data covering baseline, incremental mobility restriction, lockdown periods from 1,824 city-dwelling, working adults aged 21-40 years, incorporating 206,381 nights 334,038 days PA. Distinct rest-activity rhythm (RAR) profiles were identified using k-means clustering, indicating participants' temporal distribution step counts over day. Hierarchical clustering proportion spent each these RAR revealed four groups who expressed different mixtures before during lockdown.Time bed increased by 20 min without loss efficiency, while social jetlag measures decreased 15 min. Resting heart rate declined ~2 bpm. PA dropped an average 42%. Four with compositions found. Three better able maintain weekday/weekend differentiation lockdown. The least active group comprising ~51% sample, younger predominantly singles. Habitually less already, this showed greatest reduction little differences.In early aftermath appears be more severely affected than sleep. evaluation uncovered responses could associate outcomes should resolution protracted.

Язык: Английский

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Sleep Regularity and Cardiometabolic Heath: Is Variability in Sleep Patterns a Risk Factor for Excess Adiposity and Glycemic Dysregulation?

Current Diabetes Reports, Год журнала: 2020, Номер 20(8)

Опубликована: Июль 23, 2020

Язык: Английский

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